ALLERGY AND CLINICAL IMMUNOLOGY CENTER PA
NPI 1578616579
Allergy & Immunology in Florham Park, NJ

Active since January 21, 2007
29 COLUMBIA TPKE STE 202, FLORHAM PARK, NJ 07932(973) 377-4112(973) 377-2775 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Allergy & Immunology

About ALLERGY AND CLINICAL IMMUNOLOGY CENTER PA

This page provides the complete NPI Profile along with additional information for Allergy And Clinical Immunology Center Pa, a provider established in Florham Park, New Jersey operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1578616579 assigned on January 2007. The practitioner's primary taxonomy code is 207K00000X with license number MA028825 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. Allergy And Clinical Immunology Center Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Allergy And Clinical Immunology Center Pa. The authorized official of this NPI record is Usha Sundaram Md (President)

NPI
1578616579 Verify this NPI
Provider Legal Name
ALLERGY AND CLINICAL IMMUNOLOGY CENTER, P.A.
Other Organization Name
ALLERGY AND CLINICAL IMMUNOLOGY CENTER PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29 COLUMBIA TPKE STE 202 FLORHAM PARK, NJ 07932
Location Phone
(973) 377-4112
Location Fax
(973) 377-2775
Mailing Address
29 COLUMBIA TPKE STE 202 FLORHAM PARK, NJ 07932
Mailing Phone
(973) 377-4112
Mailing Fax
(973) 377-2775
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-21-2007
Last Update Date
10-14-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
MA028825
License State
NJ
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

USHA SUNDARAM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(973) 377-4112

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578616579, enumerated as an "organization" on January 21, 2007.

The provider is located at 29 COLUMBIA TPKE STE 202 FLORHAM PARK, NJ 07932 and the phone number is (973) 377-4112.

Allergy & Immunology with taxonomy code 207K00000X.